CMS Price Transparency Data

X-ray, lower back

Facility: Montefiore New Rochelle Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $126
Cash Discount Price: $601
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Montefiore New Rochelle Hospital is $126. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $601. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.18x the Medicare baseline. Located in 16 Guion Place, New Rochelle, NY.

Cash / Self-Pay

$601

Average discount available for prompt cash payment at this facility.

Insurance Median

$126

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $601 (563%)

Insurance Median: $126 (118%)

Cash: $601 (563% of Medicare)

Ins. Median: $126 (118% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Amidacare	$30 - $132	28%
Emblem	$30 - $740	28%
Empire	$30 - $740	28%
Fidelis	$30 - $126	28%
Medicaid / KanCare	$30	28%
Metroplus	$30 - $164	28%
Molina Healthcare Of Ny Affinity	$30 - $174	28%
Mvp	$30 - $257	28%
UnitedHealthcare	$30 - $245	28%
Wellcare	$31 - $128	29%
Hamaspik	$32 - $136	30%
Vnsny Choice	$35 - $126	33%
Vnsny Select Health	$35	33%
Healthfirst	$40 - $126	37%
Villagecaremax	$126	118%
Centerlight	$130	122%
Partners_Health_Plan	$132	124%
Humana	$138	129%
Aetna	$199 - $223	186%
Oscar	$199	186%
Cigna	$319	299%
Northwell	$338	316%
Centivo	$583	546%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $601.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72110.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Montefiore New Rochelle Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72110.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.